<!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<title>道一之家</title>
	<meta content="width=device-width,initial-scale=1.0,maximum-scale=1.0,user-scalable=0" name="viewport">
	<link rel="stylesheet" href="../static/css/public.min.css" />
	<link rel="stylesheet" href="../static/css/style.min.css" />
	<script src="../static/js/jquery-3.1.1.min.js"></script>
	<script src="../static/js/index.min.js"></script>
</head>
<body>
	<div class="main-wrap fixed-header">
		<div class="header-wrap flex-rcb ph-10">
			<div class="header-item header-btn-item pic-wrap header-left-btn-view flex-1 flex-rcs">
				<img src="../static/images/icon_arrow_left.png" alt="icon_arrow_left" class="pic-img header-btn-icon" />
			</div>
			<div class="header-item pic-wrap header-title-view flex-rcc flex-2">
				<span class="header-title">申请售后</span>
			</div>
			<div class="header-item header-btn-item pic-wrap header-right-btn-view flex-1 flex-rce"></div>
		</div>

		<div class="content bg-f8">
			<div class="content-section product-info-content">
				<div class="content-title-view ph-10">
					<span class="title content-title">产品信息</span>
				</div>
				<div class="content-con ph-10">
					<div class="con-item-view flex-rcb">
						<div class="item-title">产品型号</div>
						<div class="item-detail flex-rce flex-1 pos-r">
							<span class="detail-text">请选择1</span>
							<select name="" id="" class="pos-a detail-select w100 h100 block" onchange="onSelectOption(this);">
								<option value="哈哈哈哈哈哈1">哈哈哈哈哈哈1</option>
								<option value="哈哈哈哈哈哈2">哈哈哈哈哈哈2</option>
								<option value="哈哈哈哈哈哈3">哈哈哈哈哈哈3</option>
								<option value="哈哈哈哈哈哈4">哈哈哈哈哈哈4</option>
								<option value="哈哈哈哈哈哈5">哈哈哈哈哈哈5</option>
								<option value="哈哈哈哈哈哈6">哈哈哈哈哈哈6</option>
							</select>
							<img src="../static/images/icon_arrow_right.png" alt="icon_arrow_right" class="detail-icon" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">产品ID</div>
						<div class="item-detail flex-rce flex-1">
							<input type="text" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">售后服务类型</div>
						<div class="item-detail flex-rce flex-1 pos-r">
							<span class="detail-text">请选择2</span>
							<select name="" id="" class="pos-a detail-select w100 h100 block" onchange="onSelectOption(this);">
								<option value="哈哈哈哈哈哈7">哈哈哈哈哈哈7</option>
								<option value="哈哈哈哈哈哈8">哈哈哈哈哈哈8</option>
								<option value="哈哈哈哈哈哈9">哈哈哈哈哈哈9</option>
								<option value="哈哈哈哈哈哈10">哈哈哈哈哈哈10</option>
								<option value="哈哈哈哈哈哈11">哈哈哈哈哈哈11</option>
								<option value="哈哈哈哈哈哈12">哈哈哈哈哈哈12</option>
							</select>
							<img src="../static/images/icon_arrow_right.png" alt="icon_arrow_right" class="detail-icon" />
						</div>
					</div>
				</div>
			</div>

			<div class="content-section contact-info-content">
				<div class="content-title-view ph-10">
					<span class="title content-title">联系人信息</span>
				</div>
				<div class="content-con ph-10">
					<div class="con-item-view flex-rcb">
						<div class="item-title">姓名</div>
						<div class="item-detail flex-rce flex-1">
							<input type="text" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">联系方式</div>
						<div class="item-detail flex-rce flex-1">
							<input type="text" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">备用联系方式</div>
						<div class="item-detail flex-rce flex-1">
							<input type="text" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">地址</div>
						<div class="item-detail flex-rce flex-1">
							<input type="text" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
					<div class="con-item-view flex-rcb">
						<div class="item-title">空间时间</div>
						<div class="item-detail flex-rce flex-1">
							<input type="date" name="" id="" placeholder="请输入" class="detail-input" />
							<span class="detail-text">至</span>
							<input type="date" name="" id="" placeholder="请输入" class="detail-input" />
						</div>
					</div>
				</div>
			</div>

			<div class="content-section product-info-content">
				<div class="content-title-view ph-10">
					<span class="title content-title">问题描述</span>
				</div>
				<div class="content-con ph-10">
					<div class="con-wrap textarea-wrap">
						<textarea name="" id="" placeholder="请简单描述您的问题" class="text-input"></textarea>
					</div>
					<div class="con-item-title-view">
						<span class="title content-title">添加图片</span>
					</div>
					<div class="upload-images-wrap btn-view flex-rcc">
						<div class="btn-item-view flex-1">
							<input type="file" name="" id="" class="upload-input-item" />
							<img src="../static/images/icon_btn_upload.png" alt="icon_btn_upload" class="btn-icon" />
						</div>
						<div class="btn-item-view flex-1">
							<input type="file" name="" id="" class="upload-input-item" />
							<img src="../static/images/icon_btn_upload.png" alt="icon_btn_upload" class="btn-icon" />
						</div>
						<div class="btn-item-view flex-1">
							<input type="file" name="" id="" class="upload-input-item" />
							<img src="../static/images/icon_btn_upload.png" alt="icon_btn_upload" class="btn-icon" />
						</div>
						<div class="btn-item-view flex-1">
							<input type="file" name="" id="" class="upload-input-item" />
							<img src="../static/images/icon_btn_upload.png" alt="icon_btn_upload" class="btn-icon" />
						</div>
					</div>
				</div>
			</div>

			<div class="btn-view submit-btn-view">
				<a class="btn-item submit-btn-item">
					<span class="btn-title">提交</span>
				</a>
			</div>

		</div>

	</div>
</body>
</html>